Now, I consider myself a thin sister, BMI 20,1. I don’t have periods unless on BCP and I’m bothered by sudden growth of hair in all the wrong spots. I am cutting out sugar and exercising tons which have led to a weight loss over the last year. I think I’ve shed around 8-9 pounds. Not much, but quite a large percentage of my bodyweight. My endo. told me losing weight was the only way to deal with symptoms, however, mine has worsened during this year!? I thought that it was virtually impossible?! Also, I’m not IR… My endo says he’s never treated a woman for PCOS who weren’t. Do any of you other thin sisters have some clue that the reasons for pcos in obese women might not be the same for us? That it might not even be the same illness altogether? I very much doubt that what I have has to do with metabolic malfunctions.
Hmmm… Somehow, I feel that my PCOS-diagnosis stops the doc's from checking other reasons for my infertiliy.
Can you maybe find a different doctor? I don't see how an endo can tell you to loose weight if you are already average? I'm not IR either, but still have the other classic symptoms. I would def. suggest finding a doc who may know more about this.
__________________ Starlite
Me-28, DH-29 DD 1, born Sept 17th, 2007 DD 2, born June 9th, 2009
Can't wait to start WW again and loose the other 15lbs I gained with the last pregnancy and the 30lbs I still needed to lose with the first one.
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Have you discussed an anti-androgen medication with your doctor? (Likely not a good choice if you are TTC.)
Also does your doctor run a lot of lab work on sex hormones? . . . . I am not thin by nature, I have been overweight or struggling with my weight virtually all my life but when I was the thinnest my acne was the worst that it has ever been - I don't really recall how being thin effected other symptoms. (I was actually kinda thin for a short time but it was a sort of overwheming effort.) That was a long time before I was diagnosed and so nobody was monitoring my hormones at that time. I later found out that my estrodiol was low, in addition to most of the other ususal PCOS stuff. I don't know this but I think that my estrogen levels had always been low and were likely even lower at my lowest weight and that the ratio of my estrogen to androgens was probably actually worse when I was my thinnest and that is why the acne was worse. . . . I don't know, maybe some posssibility like that might be worth checking into.
Have you considered trying to find a doctor who can see past the belief that weight loss is THE WAY to deal with PCOS symptoms? I really don't know what to say about the IR thing -- I hope that it is not an issue for you and never will be but it seems like it might be good to be careful about lifestyle things that effect IR, just in case, but perhaps not as a goal of weight loss.
impcossible? 
